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Home My WebLink AboutZ-21179FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-21179 Date NOVEMBER 24~ 1992 THIS CERTIFIES that the building. Location of Property 3190 PARK AVENUE House No. County Tax Map No. 1000 Section 123 Subdivision ONE FAMILY DWELLING MATTITUCK ~ N.Y. Street Block 8 Lot Filed Map No. Lot No. Hamlet 20 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-21179 dated NOVEMBER 24~ 1992 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ACCESSORY WOOD FRAME SHED * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF~YLTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. MILLICENT DANKS~ BRIAN & BRUCE McCONNACHIE N/A N/a Rev. 1/81 Location BU[~DI:.G DEP?~qTi. LENT TO'.'F~.[ OF SOUTHOLD, N. Y. HOUSIZG CODE IUSPECTION REPORT 3190 PARK AVENUE MATTITUCK, NL%/YORK Lnumocr ~ s~reec) Li'lunzczpa±zcy) Subdivision Nmme of Owner(s) Map No. MILLICENT DAlq. S & AltO 5ot( )_ Occupancy A-I ESS. ~Zype) A~itted by: SELF OWNER ~ own er- ~ enanj Accompanied by: SELF Key available YES Suffolk Co. Tax No. 123-8-20 Source of request DEBORAH BOTY, ESQ. ,Date NOV. 17, 1992 D%~LIMG: Type of construction Foundation Total rooms, Bathroom(s) Porch, t)~e COVERED Breezeway Type Heat OIL Fireplace(s) ORE Domestic hotwater Other FRONT 1st. F1 2 FULL BATH woOD FEAME #stories Cellar PARTIAL Crawl space_ 5 2nd. F1 3rd. F1 Toilet room(s)~ Deck, ~ypeWOO~ Patio, typ~ Garage Utility room 'Warm Air Hotwater Xx Airconditioning ~ype heater OFF BOILER No. ~cits 4 ON YES 'L' SHAPED OVERiiANG ACCESSORY Garage, type const. Swim. ming pool Other Storage, type const. WOOD FRAME SHED Guest, type const. FRONT YARD V_IOLATIOMS ~Lncation ROOF .ClbkPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Descriut±on [Ar%-.'l Sec. Z~t'I'ZRIOR STAIRS, PORCHES ETC. SEALL BE I NYCRR 9B MAINTAi~o IN A SAFE & SOUND CONDITION. ]242.5 (E) Remarks: Inspected by: Date of Insp. NOV. 19th & 23rd, 1992 Time start ]0:00 end 10:20 am BLDG. DEPT. TOWNr ~F ~i'~ LITH ~ ~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets~ and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prigr to April 9, 1957) non-conforming uses, or buildings and '!pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and ~ unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate Of Occupancy is denied, the Building Inspector shall state the -* reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... [.t~/.t.'~ ~. .~-~.. .......................... New Construction ........... .~9~Od Or Pre-existing Building...X...(.A.~.~..s..~.r.u.c~ures) Location of Property.mO. ~ r..k .A.v.e..n.u.e (Bungalow Lane) ~at~tuck House No. Street Hamlet Onwer or Owners of Property..~.i..i.l.i.c..e.rl.~..P..~..k.s. ,...B?.i..g~l...~?.C..o.~¥1.~.c.h..i?..~.. p.r.u.c..e..~.c.C..o.~.~.~.c..h~.e County Tax Map No 1000, Section..%.23 ......... Block....8 ............ not...~.O. ................. Subdivision ................................. · .. Filed Map .......... . . Lot .................... .. Permit No ................ Date Of Permit ................ Applicant..p.e.b.o.r.a.h E..s.q Health Dept. Approval .......................... Underwriters Approval ..................... .... Planning Board Approval ...................... . . Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ........................... . . , 171 .... APPLICANT-- CONSE?;T TO INg PEC'F[ON Nillicent Danks, Brian l~cCon~hie & Bruce NcConnachi~w. do(es) hereby state: That the undersigned (is) (are) the owner(U) of thc premise:; in thc Totem of Southold located at No ~ Park Avenue (Bungalow L~e) ~a~ti~uck , which is ~hov.'n and designated on the Suffolk County tax map as Distric~ 100fi. Section 123 . Block 8 . Lot 20 'That the undersigned (has) (have) filed, or caused ~o be Hied. an applica- tion in the Southcld To~ Building Inspector's Office for the follow,g: a ~ertificate of 0ccup~cy on Pre-existing Building ~d Accessory St~eture That [he undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southoldto enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary ~vith respect to the aforesaid application, ' ~,--~' ~, ~ ~ -~ - nuc~.,~ un~ -nsp.c._o,s to determine that said ~remises comply with all of the laws: ordinances, rules and regulations of the To~vn of Southold. The undersigned, in consenting to such inspections, do(es) so uith the knowledge and understanding that any information obtained in the conduct of such inspections may be used a~ evidence in subsequent prosecutions for rio- lations of the laws, Dated: ordinances, rules or regulations of ~he Town of Southold. (signature) Deborah Doty, Esq., attorneF For ov~ners (print name) (sit~nnturc) (print name) * CONTACT ~' CELIC REALTY (298-8000 for access. NY.S. LiC. 3~225 (516) 698-4429 l DIST ...... SEC._/~ 3___ BLK.__'~___ LOT ...~_.o_ ............ SURVEYED o¢.~- ~'o, .~e~.